Evidence map›Paper›PMID 31378080›Full record

ArticleThe American journal of hospice & palliative care2020

Mindfulness Training Supports Quality of Life and Advance Care Planning in Adults With Metastatic Cancer and Their Caregivers: Results of a Pilot Study.

Shelley A Johns, Kathleen Beck-Coon, Patrick V Stutz, Tasneem L Talib, Kelly Chinh, Ann H Cottingham, Karen Schmidt, Cleveland Shields, Madison E Stout, Timothy E Stump and 3 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02367508 (Mindfully Optimizing Delivery of End-of-Life Care), which is not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02367508 nacompletednot on this map

Mindfully Optimizing Delivery of End-of-Life Care (MODEL Care): Feasibility of a Synergistic Intervention for Patients, Family Caregivers, and Providers

TypeinterventionalSponsorIndiana UniversityRan2014 to 2015Enrolled31ConditionsCancer, Coping SkillsArmsMODEL Care
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Mindfulness-based interventions for addressing sexual function after cancer: A systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  16. Positive Psychology Approaches to Interventions for Cancer Dyads: A Scoping Review.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Shelley A JohnsIndiana University School of Medicine, Indianapolis, IN, USA.ORCID https://orcid.org/0000-0001-5730-1822
Kathleen Beck-CoonIndiana University School of Medicine, Indianapolis, IN, USA.
Patrick V StutzIndiana University School of Medicine, Indianapolis, IN, USA.ORCID https://orcid.org/0000-0003-2731-7641
Tasneem L TalibRegenstrief Institute, Inc, Indianapolis, IN, USA.
Kelly ChinhDepartment of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA.
Ann H CottinghamIndiana University School of Medicine, Indianapolis, IN, USA.ORCID https://orcid.org/0000-0003-2827-0101
Karen SchmidtIndiana University School of Medicine, Indianapolis, IN, USA.
Cleveland ShieldsDepartment of Human Development and Family Studies, Purdue University, West Lafayette, IN, USA.
Madison E StoutRegenstrief Institute, Inc, Indianapolis, IN, USA.
Timothy E StumpIndiana University School of Medicine, Indianapolis, IN, USA.
Patrick O MonahanIndiana University School of Medicine, Indianapolis, IN, USA.
Alexia M TorkeIndiana University School of Medicine, Indianapolis, IN, USA.ORCID https://orcid.org/0000-0001-9609-714X
Paul R HelftIndiana University School of Medicine, Indianapolis, IN, USA.
Indiana University School of MedicineRegenstrief Institute · USIndiana University Health · USPurdue University West Lafayette · USUniversity of Indianapolis · US

Funding

Research and Training for Behavioral Oncology InterventionsK05CA175048 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI CHAMPION, VICTORIA LEE · 2014 to 2018
$484k
NCI NIH HHS K05 CA175048
6 · The paper itself

Abstract

backgroundEmotional distress often causes patients with cancer and their family caregivers (FCGs) to avoid end-of-life discussions and advance care planning (ACP), which may undermine quality of life (QoL). Most ACP interventions fail to address emotional barriers that impede timely ACP.

aimWe assessed feasibility, acceptability, and preliminary effects of a mindfulness-based intervention to facilitate ACP for adults with advanced-stage cancer and their FCGs.

designA single-arm pilot was conducted to assess the impact of a 6-week group mindfulness intervention on ACP behaviors (patients only), QoL, family communication, avoidant coping, distress, and other outcomes from baseline (T1) to post-intervention (T2) and 1 month later (T3).

participantsEligible patients had advanced-stage solid malignancies, limited ACP engagement, and an FCG willing to participate. Thirteen dyads (N = 26 participants) enrolled at an academic cancer center in the United States.

resultsOf eligible patients, 59.1% enrolled. Attendance (70.8% across 6 sessions) and retention (84.6% for patients; 92.3% for FCGs) through T3 were acceptable. Over 90% of completers reported high intervention satisfaction. From T1 to T3, patient engagement more than doubled in each of 3 ACP behaviors assessed. Patients reported large significant decreases in distress at T2 and T3. Family caregivers reported large significant improvements in QoL and family communication at T2 and T3. Both patients and FCGs reported notable reductions in sleep disturbance and avoidant coping at T3.

conclusionsThe mindfulness intervention was feasible and acceptable and supported improvements in ACP and associated outcomes for patients and FCGs. A randomized trial of mindfulness training for ACP is warranted. The study is registered at ClinicalTrials.gov with identifier NCT02367508 ( https://clinicaltrials.gov/ct2/show/NCT02367508 ).

Indexed as

Advance Care PlanningAdultAgedCaregiversFemaleHumansMaleMiddle AgedMindfulnessNeoplasmsPilot ProjectsQuality of LifeSocial SupportTerminal Careadvance care planningcancercaregiverscopingdistressend of lifemindfulnessquality of life

Identifiers

PMID31378080
PMCPMC8112585
OpenAlexW2966302561

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.